HomeMy WebLinkAboutHO200700082 Application 2017-07-10OFFICE USE
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Application for Home Occupation Class A Permit .
Occupation Class A Permit = $13.00
Project Name: J__kD f-J-r )CA_,'-y-X /" x
Tax map and parcel: f !t % `~ F / V i Magisterial District:
Physical Street Address (if assigned): 55 c 3 S-fu_/'%''
Location of property (landmarks, intersections, or other):
Zoning:
Does the owner of this property own (or have any ownership interest in) any abutting property? If yes, please list those tax map and parcel numbers
Contact Person (Who should we call/write concerning this project?): Any, n ft— C
Address City]' State Zip
Daytime Phone 3 "a # E-mail
Owner of Record7&h ! 191 n_
Address
Daytime Phone (_)
Applicant (Who is the Contact person representing?):
Address
Daytime Phone (�
City
Fax # E-mail
City
Fax # E-mail
State Zip
State Zip
OFFICE i1�Y By Who? Receipt By:
Fee amount $ Data Paid Check .� I"Y� �►'V /J
UOUnly OI AIDemarie Leparlment OI ommunity ueveiopmeny
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296-5832 Fax: (434) 972-4126
711/04 Page 1 of 2
Home Location h ! 8 < v-' 4 r- l
Type of Business
W
Name of Business of I
Does the Public visit the site? Yes or No
This certificate in conjunction with a business license, repres
Home Occupations, Class A - s011 WE x
detached garage; and 6) must be conducted by the owned k� r�� a u`-,
Occupations, Class A are also subject to the followingrestric-,; - � -ft �
I) Employees not living in the dwelling are not allowed.
2) There shall be no change in the outside appearance of the EI45 s *_ # i_ -+
home occupation. qr
3) Outside storage of materials used in the home occupation
4) On -premise sales of goods, other than items hand-craftera±!
5 oof thet lfr szeti �l'ic4st'e r«rc i ��
floor
occ pat on shall not exce d1,500 sq are fe telling may b i[ix�.�
5) No traffic shall be generated in greater volumes than woulol x�te xr n r�i elIll
7) Any need to parking shall be met off the street. y'
8) All home occupations shall comply with performance star d[ja
Owner/Applicair��, J
I hereby apply for approval to conduct the Home Occu at? - '-i -- -
p residence. I also certify that I have read the restrictions on r
by them.
Sig ature of Owner, Contract Purchaser
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Print Name
� ate
CONDITIONS:
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